| NPI | 1235892712 |
|---|---|
| Former Name | NICOLE LYNN WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP025107) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN685393) |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2025-06-03 |